Canadian Task Force (CTF) - Summary Table of "A" Recommendations

Summary Table of "B" Recommendations
Fair Evidence to Include in PHE (DO)

CONDITION MANEUVER POPULATION

Adverse consequences, children of alcoholics Children of Alcoholics Screening Test (CAST) General population

All-cause mortality and morbidity Moderate physical activity General population

Breast cancer Counselling on benefits and risks of using tamoxifen to reduce likelihood of breast cancer High-risk women

Cardiovascular events Screening for type 2 diabetes mellitus to prevent CV events High-risk adults with hypertension

Cardiovascular events Screening for type 2 diabetes mellitus to prevent CV events High-risk adults with hyperlipidemia

Cardiovascular events Acarbose treatment to prevent CV events Overweight adults with impaired glucose tolerance

Cervical cancer Papanicolaou smear Women

Chlamydial infection Smear, culture or analysis Pregnant or high-risk women

Cognitive Impairment Assessment based upon individual's complaint of memory loss Elderly

Colorectal cancer Sigmoidoscopy Average risk adults > age 50

Colorectal cancer Flexible sigmoidoscopy beginning at puberty, genetic testing High-risk adults with FAP

Colorectal cancer Colonoscopy High-risk adults with HNPCC

Congenital rubella syndrome Screen and vaccinate or universal vaccination Non-pregnant women of child-bearing age

Congenital rubella syndrome Screen, counsel and vaccinate post-partum if indicated Pregnant women

Coronary heart disease General dietary advice on fat and cholesterol Males 30-69 years

Coronary heart disease Diet/drug treatment Males 30-59 years with Elevated Cholesterol or LDL-C

Cystic fibrosis DNA analysis for carrier status Siblings of children with CF

Cystic fibrosis Sweat test, immunoreactive trypsin and "BM meconium" test Siblings of children with CF

D (Rh) Sensitization Repeat blood test, D (Rh) antibody screening and immunoglobin (D Ig) administration Pregnant women who are antibody negative and women undergoing induced abortion or amniocentesis

Delayed mental development Enquire about developmental milestones Parents of infants

Developmental Hip Dysplasia Repeated serial clinical examination by trained examiners Normal-risk infants

Diabetic retinopathy Funduscopy or retinal photography Diabetics

Diet-related illness Counselling on adverse nutritional habits Adult population

Diminished visual acuity Snellen sight card Elderly

Disorders of physical growth Serial height, weight, head circumference measurement Infants

Domestic violence Referral to post-shelter advocacy counseling Pregnant and non-pregnant women

Down syndrome Genetic screening and counselling High-risk pregnant women

Down syndrome Triple screening and counselling Pregnant women <35 yrs

Falls prevention in long-term care facilities Multifactorial screening and intervention program Elderly

Fetal alcohol syndrome Screening and Counselling, alcohol consumption Pregnant women

Gingivitis Brushing teeth General population

Gonorrhea Counselling, Educational materials General population

Group B Streptococcal Universal screening for GBS colonization and selective intrapartum chemoprophylaxis to colonized women with risk factors Pregnant women

Group B Streptococcal Universal screening for GBS colonization and intrapartum chemoprophylaxis to all colonized women Pregnant women

Hearing impairment Enquiry, whispered voice test or audioscope Elderly

Hemoglobinopathies DNA analysis, fetal tissue sample/counselling Families, parents confirmed carriers

Hemoglobinopathies 1) Screen for carrier status (complete blood count, hemoglobin and electrophoresis) High-risk pregnant women

HIV/AIDS Voluntary HIV antibody screening Infants of HIV positive women

Household and recreational injury Counselling on home risk factors, poisoning Children/ parents

Household and recreational injury Legislation, window and stair guards, smoke detectors General population

Household and recreational injury Public education/ Legislation, fire burn and water (tub and swimming) safety General population

Household and recreational injury Legislation, avoidance of alcohol with water recreation General population

Household and recreational injury Legislation, safety aides, stairs bathtubs Elderly

Hypertension Blood pressure measurement Elderly

Hypertension Acarbose treatment to prevent CV events Overweight adults with impaired glucose tolerance

Influenza Immunization, annual High-risk sub-groups and elderly

Iron deficiency anemia Routine hemoglobin High-risk infants, Disadvantaged children

Iron deficiency anemia in infants Counselling, breast feeding Pregnant women (or peripartum period)

Iron deficiency anemia in infants Iron fortified formula, cereal or supplementation Infants

Lead exposure Blood lead screening High-risk children

Lung cancer Dietary advice on green leafy vegetables and fruit Smokers

MVA Injury Counselling on restraint use and avoidance of drinking and driving General population

Neural tube defects Maternal serum aplha-fetoprotein/ ultrasound, amniocentesis Pregnant women

Obesity BMI measurement Obese adults with obesity-related disease

Obesity Weight-reduction therapy Obese adults with obesity-related disease

Osteoporotic fractures Screening Postmenopausal women

Osteoporotic fractures Screening using individual risk factors Postmenopausal women

Osteoporotic fractures Screening using BMD to predict fractures Postmenopausal women

Osteoporotic fractures Primary prevention of fragility fractures using calcium and vitamin D Postmenopausal women

Osteoporotic fractures Secondary prevention of vertebral fractures using risedronate or raloxifene Postmenopausal women

Osteoporotic fractures Secondary prevention of hip and nonvertebral fractures using alendronate or risedronate Postmenopausal women

Osteoporotic fractures Tertiary prevention of vertebral fractures using raloxifene, risedronate, etidronate, or oral pamidronate Postmenopausal women

Osteoporotic fractures Tertiary prevention of hip fractures using alendronate Postmenopausal women

Osteoporotic fractures Tertiary prevention of hip and nonvertebral fractures using risedronate Postmenopausal women

Osteoporotic fractures Tertiary prevention of vertebral and nonvertebral fractures using PTH Postmenopausal women

Paroxysmal atrial fibrillation in patients with stroke Anticoagulation if atrial fibrillation detected after stroke Patients with paroxysmal atrial fibrillation

Perinatal morbidity and mortality Single prenatal ultrasound, second trimester Pregnant women

Periodontal disease Tooth scaling and prophylaxis General population

Preeclampsia Blood pressure measurement Pregnant women

Problem drinking Case finding and counselling General population

Skin cancer Physical exam, skin First degree relative with melanoma

Skin cancer Counselling, sun exposure, clothing General population

Stroke Anticoagulation if atrial fibrillation detected after stroke Patients with paroxysmal atrial fibrillation

Stroke Anticoagulation (warfarin) for intracardiac thrombus to prevent systemic emboli Patients with stroke and intracardiac thrombus

Stroke Echocardiography: Transthoracic (TTE) or transesophageal (TEE) for detection of intracardiac masses Patients with clinical cardiac disease and no pre-existing indications for anticoagulation

Suicide Physician education, risk recognition and therapy Physicians

Suicide Medical treatment, reduction suicidal ideation High-risk population

Tobacco-caused disease Referral to validated cessation program Smokers

Tobacco-caused disease Counselling to prevent smoking initiation Children and adolescents

Tuberculosis INH prophylaxis High-risk sub-groups

Vehicle-related injury Legislation, bicycle motorcycle or all terrain vehicle helmet General population

Varicella vaccine Immunization with varicella vaccine Susceptible adolescents and adults

Vision problems Visual acuity testing Preschool children

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Last modified: August 17, 2005

CONDITION	MANEUVER	POPULATION
Adverse consequences, children of alcoholics	Children of Alcoholics Screening Test (CAST)	General population
All-cause mortality and morbidity	Moderate physical activity	General population
Breast cancer	Counselling on benefits and risks of using tamoxifen to reduce likelihood of breast cancer	High-risk women
Cardiovascular events	Screening for type 2 diabetes mellitus to prevent CV events	High-risk adults with hypertension
Cardiovascular events	Screening for type 2 diabetes mellitus to prevent CV events	High-risk adults with hyperlipidemia
Cardiovascular events	Acarbose treatment to prevent CV events	Overweight adults with impaired glucose tolerance
Cervical cancer	Papanicolaou smear	Women
Chlamydial infection	Smear, culture or analysis	Pregnant or high-risk women
Cognitive Impairment	Assessment based upon individual's complaint of memory loss	Elderly
Colorectal cancer	Sigmoidoscopy	Average risk adults > age 50
Colorectal cancer	Flexible sigmoidoscopy beginning at puberty, genetic testing	High-risk adults with FAP
Colorectal cancer	Colonoscopy	High-risk adults with HNPCC
Congenital rubella syndrome	Screen and vaccinate or universal vaccination	Non-pregnant women of child-bearing age
Congenital rubella syndrome	Screen, counsel and vaccinate post-partum if indicated	Pregnant women
Coronary heart disease	General dietary advice on fat and cholesterol	Males 30-69 years
Coronary heart disease	Diet/drug treatment	Males 30-59 years with Elevated Cholesterol or LDL-C
Cystic fibrosis	DNA analysis for carrier status	Siblings of children with CF
Cystic fibrosis	Sweat test, immunoreactive trypsin and "BM meconium" test	Siblings of children with CF
D (Rh) Sensitization	Repeat blood test, D (Rh) antibody screening and immunoglobin (D Ig) administration	Pregnant women who are antibody negative and women undergoing induced abortion or amniocentesis
Delayed mental development	Enquire about developmental milestones	Parents of infants
Developmental Hip Dysplasia	Repeated serial clinical examination by trained examiners	Normal-risk infants
Diabetic retinopathy	Funduscopy or retinal photography	Diabetics
Diet-related illness	Counselling on adverse nutritional habits	Adult population
Diminished visual acuity	Snellen sight card	Elderly
Disorders of physical growth	Serial height, weight, head circumference measurement	Infants
Domestic violence	Referral to post-shelter advocacy counseling	Pregnant and non-pregnant women
Down syndrome	Genetic screening and counselling	High-risk pregnant women
Down syndrome	Triple screening and counselling	Pregnant women <35 yrs
Falls prevention in long-term care facilities	Multifactorial screening and intervention program	Elderly
Fetal alcohol syndrome	Screening and Counselling, alcohol consumption	Pregnant women
Gingivitis	Brushing teeth	General population
Gonorrhea	Counselling, Educational materials	General population
Group B Streptococcal	Universal screening for GBS colonization and selective intrapartum chemoprophylaxis to colonized women with risk factors	Pregnant women
Group B Streptococcal	Universal screening for GBS colonization and intrapartum chemoprophylaxis to all colonized women	Pregnant women
Hearing impairment	Enquiry, whispered voice test or audioscope	Elderly
Hemoglobinopathies	DNA analysis, fetal tissue sample/counselling	Families, parents confirmed carriers
Hemoglobinopathies	1) Screen for carrier status (complete blood count, hemoglobin and electrophoresis)	High-risk pregnant women
HIV/AIDS	Voluntary HIV antibody screening	Infants of HIV positive women
Household and recreational injury	Counselling on home risk factors, poisoning	Children/ parents
Household and recreational injury	Legislation, window and stair guards, smoke detectors	General population
Household and recreational injury	Public education/ Legislation, fire burn and water (tub and swimming) safety	General population
Household and recreational injury	Legislation, avoidance of alcohol with water recreation	General population
Household and recreational injury	Legislation, safety aides, stairs bathtubs	Elderly
Hypertension	Blood pressure measurement	Elderly
Hypertension	Acarbose treatment to prevent CV events	Overweight adults with impaired glucose tolerance
Influenza	Immunization, annual	High-risk sub-groups and elderly
Iron deficiency anemia	Routine hemoglobin	High-risk infants, Disadvantaged children
Iron deficiency anemia in infants	Counselling, breast feeding	Pregnant women (or peripartum period)
Iron deficiency anemia in infants	Iron fortified formula, cereal or supplementation	Infants
Lead exposure	Blood lead screening	High-risk children
Lung cancer	Dietary advice on green leafy vegetables and fruit	Smokers
MVA Injury	Counselling on restraint use and avoidance of drinking and driving	General population
Neural tube defects	Maternal serum aplha-fetoprotein/ ultrasound, amniocentesis	Pregnant women
Obesity	BMI measurement	Obese adults with obesity-related disease
Obesity	Weight-reduction therapy	Obese adults with obesity-related disease
Osteoporotic fractures	Screening	Postmenopausal women
Osteoporotic fractures	Screening using individual risk factors	Postmenopausal women
Osteoporotic fractures	Screening using BMD to predict fractures	Postmenopausal women
Osteoporotic fractures	Primary prevention of fragility fractures using calcium and vitamin D	Postmenopausal women
Osteoporotic fractures	Secondary prevention of vertebral fractures using risedronate or raloxifene	Postmenopausal women
Osteoporotic fractures	Secondary prevention of hip and nonvertebral fractures using alendronate or risedronate	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of vertebral fractures using raloxifene, risedronate, etidronate, or oral pamidronate	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of hip fractures using alendronate	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of hip and nonvertebral fractures using risedronate	Postmenopausal women
Osteoporotic fractures	Tertiary prevention of vertebral and nonvertebral fractures using PTH	Postmenopausal women
Paroxysmal atrial fibrillation in patients with stroke	Anticoagulation if atrial fibrillation detected after stroke	Patients with paroxysmal atrial fibrillation
Perinatal morbidity and mortality	Single prenatal ultrasound, second trimester	Pregnant women
Periodontal disease	Tooth scaling and prophylaxis	General population
Preeclampsia	Blood pressure measurement	Pregnant women
Problem drinking	Case finding and counselling	General population
Skin cancer	Physical exam, skin	First degree relative with melanoma
Skin cancer	Counselling, sun exposure, clothing	General population
Stroke	Anticoagulation if atrial fibrillation detected after stroke	Patients with paroxysmal atrial fibrillation
Stroke	Anticoagulation (warfarin) for intracardiac thrombus to prevent systemic emboli	Patients with stroke and intracardiac thrombus
Stroke	Echocardiography: Transthoracic (TTE) or transesophageal (TEE) for detection of intracardiac masses	Patients with clinical cardiac disease and no pre-existing indications for anticoagulation
Suicide	Physician education, risk recognition and therapy	Physicians
Suicide	Medical treatment, reduction suicidal ideation	High-risk population
Tobacco-caused disease	Referral to validated cessation program	Smokers
Tobacco-caused disease	Counselling to prevent smoking initiation	Children and adolescents
Tuberculosis	INH prophylaxis	High-risk sub-groups
Vehicle-related injury	Legislation, bicycle motorcycle or all terrain vehicle helmet	General population
Varicella vaccine	Immunization with varicella vaccine	Susceptible adolescents and adults
Vision problems	Visual acuity testing	Preschool children